Individual
TYLIA BLISSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4104 OUTLOOK BLVD BLDG B, PUEBLO, CO 81008-1670
(719) 283-1633
Mailing address
4104 OUTLOOK BLVD BLDG B, PUEBLO, CO 81008-1670
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
18668
CO
106E00000X
Assistant Behavior Analyst
Primary
18668
CO
Other
Enumeration date
06/21/2021
Last updated
07/17/2026
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